Randomized Controlled Trial

. 2017 Sep 11;7(9):e017498.

doi: 10.1136/bmjopen-2017-017498.

A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol

Sze Lin Yoong^{1

2

3

4}, Alice Grady^{1

3

4

2}, John Wiggers^{1

3

4

2}, Victoria Flood^{5

6}, Chris Rissel^{7

8}, Meghan Finch^{1

3

2}, Andrew Searles^{1

3}, David Salajan⁹, Ruby O'Rourke⁹, Jaqueline Daly⁹, Karen Gilham², Fiona Stacey^{1

3

4

2}, Alison Fielding^{1

2}, Nicole Pond², Rebecca Wyse^{1

3

4

2}, Kirsty Seward^{1

3

2}, Luke Wolfenden^{1

3

4

2}

Affiliations

¹ School of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
² Hunter New England Local Health District, Population Health, Wallsend, Australia.
³ Hunter Medical Research Institute, New Lambton Heights, Australia.
⁴ Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia.
⁵ Westmead Hospital, Western Sydney Local Health District, Westmead, Australia.
⁶ Faculty of Health Sciences and Charles Perkins Centre, The University of Sydney, Sydney, Australia.
⁷ The University of Sydney, School of Public Health, Camperdown, Australia.
⁸ NSW Office of Preventive Health, South Western Sydney Local Health District, Liverpool, Australia.
⁹ Healthy Australia Ltd, St Kilda South, Victoria, Australia.

PMID: 28893755
PMCID: PMC5595182
DOI: 10.1136/bmjopen-2017-017498

Randomized Controlled Trial

A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol

Sze Lin Yoong et al. BMJ Open. 2017.

. 2017 Sep 11;7(9):e017498.

doi: 10.1136/bmjopen-2017-017498.

Authors

Affiliations

¹ School of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
² Hunter New England Local Health District, Population Health, Wallsend, Australia.
³ Hunter Medical Research Institute, New Lambton Heights, Australia.
⁴ Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia.
⁵ Westmead Hospital, Western Sydney Local Health District, Westmead, Australia.
⁶ Faculty of Health Sciences and Charles Perkins Centre, The University of Sydney, Sydney, Australia.
⁷ The University of Sydney, School of Public Health, Camperdown, Australia.
⁸ NSW Office of Preventive Health, South Western Sydney Local Health District, Liverpool, Australia.
⁹ Healthy Australia Ltd, St Kilda South, Victoria, Australia.

PMID: 28893755
PMCID: PMC5595182
DOI: 10.1136/bmjopen-2017-017498

Abstract

Introduction: The implementation of dietary guidelines in childcare settings is recommended to improve child public health nutrition. However, foods provided in childcare services are not consistent with guidelines. The primary aim of the trial is to assess the effectiveness of a web-based menu planning intervention in increasing the mean number of food groups on childcare service menus that comply with dietary guidelines regarding food provision to children in care.

Methods and analysis: A parallel group randomised controlled trial will be undertaken with 54 childcare services that provide food to children within New South Wales, Australia. Services will be randomised to a 12-month intervention or usual care. The experimental group will receive access to a web-based menu planning and decision support tool and online resources. To support uptake of the web program, services will be provided with training and follow-up support. The primary outcome will be the number of food groups, out of 6 (vegetables, fruit, breads and cereals, meat, dairy and 'discretionary'), on the menu that meet dietary guidelines (Caring for Children) across a 1-week menu at 12-month follow-up, assessed via menu review by dietitians or nutritionists blinded to group allocation. A nested evaluation of child dietary intake in care and child body mass index will be undertaken in up to 35 randomly selected childcare services and up to 420 children aged approximately 3-6 years.

Ethics and dissemination: Ethical approval has been provided by Hunter New England and University of Newcastle Human Research Ethics Committees. This research will provide high-quality evidence regarding the impact of a web-based menu planning intervention in facilitating the translation of dietary guidelines into childcare services. Trial findings will be disseminated widely through national and international peer-reviewed publications and conference presentations.

Trial registration: Prospectively registered with Australian New Zealand Clinical Trial Registry (ANZCTR) ACTRN12616000974404.

Keywords: Child Care; Child Preschool; Menu Planning; Nutrition Policy; Online Systems; Practice Guidelines; Randomized Controlled Trial.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Cited by

Improving nutrition and physical activity environments of family child care homes: the rationale, design and study protocol of the 'Healthy Start/Comienzos Sanos' cluster randomized trial.
Risica PM, Tovar A, Palomo V, Dionne L, Mena N, Magid K, Ward DS, Gans KM. Risica PM, et al. BMC Public Health. 2019 Apr 18;19(1):419. doi: 10.1186/s12889-019-6704-6. BMC Public Health. 2019. PMID: 30999881 Free PMC article. Clinical Trial.
Feasibility of a Mobile Health App for Routine Outcome Monitoring and Feedback in SMART Recovery Mutual Support Groups: Stage 1 Mixed Methods Pilot Study.
Kelly PJ, Beck AK, Deane FP, Larance B, Baker AL, Hides L, Manning V, Shakeshaft A, Neale J, Kelly JF, Oldmeadow C, Searles A, Palazzi K, Lawson K, Treloar C, Gray RM, Argent A, McGlaughlin R. Kelly PJ, et al. J Med Internet Res. 2021 Oct 6;23(10):e25217. doi: 10.2196/25217. J Med Internet Res. 2021. PMID: 34612829 Free PMC article.
Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.
Yoong SL, Lum M, Wolfenden L, Jackson J, Barnes C, Hall AE, McCrabb S, Pearson N, Lane C, Jones JZ, Dinour L, McDonnell T, Booth D, Grady A. Yoong SL, et al. Cochrane Database Syst Rev. 2023 Jun 12;6(6):CD013862. doi: 10.1002/14651858.CD013862.pub2. Cochrane Database Syst Rev. 2023. Update in: Cochrane Database Syst Rev. 2023 Aug 22;8:CD013862. doi: 10.1002/14651858.CD013862.pub3. PMID: 37306513 Free PMC article. Updated. Review.
Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.
Yoong SL, Lum M, Wolfenden L, Jackson J, Barnes C, Hall AE, McCrabb S, Pearson N, Lane C, Jones JZ, Nolan E, Dinour L, McDonnell T, Booth D, Grady A. Yoong SL, et al. Cochrane Database Syst Rev. 2023 Aug 22;8(8):CD013862. doi: 10.1002/14651858.CD013862.pub3. Cochrane Database Syst Rev. 2023. PMID: 37606067 Free PMC article.
Feasibility of a Mobile Health App for Routine Outcome Monitoring and Feedback in Mutual Support Groups Coordinated by SMART Recovery Australia: Protocol for a Pilot Study.
Kelly PJ, Beck AK, Baker AL, Deane FP, Hides L, Manning V, Shakeshaft A, Larance B, Neale J, Kelly J, Oldmeadow C, Searles A, Treloar C, Gray RM, Argent A, McGlaughlin R. Kelly PJ, et al. JMIR Res Protoc. 2020 Jul 9;9(7):e15113. doi: 10.2196/15113. JMIR Res Protoc. 2020. PMID: 32673272 Free PMC article.

See all "Cited by" articles

References

1. Lim SS, Vos T, Flaxman AD, et al. . A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2224–60.10.1016/S0140-6736(12)61766-8 - DOI - PMC - PubMed
1. Forouzanfar MH, Alexander L, Anderson HR, et al. . Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet 2015;386:2287–323.10.1016/S0140-6736(15)00128-2 - DOI - PMC - PubMed
1. Craigie AM, Lake AA, Kelly SA, et al. . Tracking of obesity-related behaviours from childhood to adulthood: A systematic review. Maturitas 2011;70:266–84.10.1016/j.maturitas.2011.08.005 - DOI - PubMed
1. Juonala M, Viikari JS, Kähönen M, et al. . Life-time risk factors and progression of carotid atherosclerosis in young adults: the Cardiovascular Risk in Young Finns study. Eur Heart J 2010;31:1745–51.10.1093/eurheartj/ehq141 - DOI - PubMed
1. Australian Bureau of Statistics. 4364.0.55.012 - Australian Health Survey: Consumption of Food Groups from the Australian Dietary Guidelines 2011-12 [Internet]. 2016. http://www.abs.gov.au/ausstats/abs@.nsf/0/E1BEB9FF17756D25CA257FAF001A3B....

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol

Affiliations

A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol

Authors

Affiliations

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources